How much rates vary
Facilitymedian $832 · 10th to 90th $372 to $2,239Professionalmedian $513 · 10th to 90th $275 to $832
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $512.86 Median $758.58 Typical High $1,318.26 | Facility | None | $512.86 | $758.58 | $1,318.26 |
Aetna Setting Professional Modifier None (both parts) Typical Low $416.87 Median $467.74 Typical High $588.84 | Professional | None (both parts) | $416.87 | $467.74 | $588.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $69.18 Typical High $79.43 | Professional | 26 · Professional part | $58.88 | $69.18 | $79.43 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $346.74 Median $407.38 Typical High $524.81 | Professional | TC · Technical part | $346.74 | $407.38 | $524.81 |
Capital Blue Cross Setting Facility Modifier None Typical Low $4,265.80 Median $5,011.87 Typical High $79,432.82 | Facility | None | $4,265.80 | $5,011.87 | $79,432.82 |
Capital Blue Cross Setting Facility Modifier TC · Technical part Typical Low $1,513.56 Median $1,862.09 Typical High $5,011.87 | Facility | TC · Technical part | $1,513.56 | $1,862.09 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $524.81 Median $537.03 Typical High $954.99 | Professional | None (both parts) | $524.81 | $537.03 | $954.99 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $74.13 Typical High $165.96 | Professional | 26 · Professional part | $70.79 | $74.13 | $165.96 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $446.68 Median $467.74 Typical High $794.33 | Professional | TC · Technical part | $446.68 | $467.74 | $794.33 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $1,202.26 Typical High $2,238.72 | Facility | None | $380.19 | $1,202.26 | $2,238.72 |
Cigna Setting Professional Modifier None (both parts) Typical Low $213.80 Median $478.63 Typical High $891.25 | Professional | None (both parts) | $213.80 | $478.63 | $891.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $83.18 Typical High $141.25 | Professional | 26 · Professional part | $46.77 | $83.18 | $141.25 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $416.87 Typical High $776.25 | Professional | TC · Technical part | $165.96 | $416.87 | $776.25 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $933.25 Median $933.25 Typical High $933.25 | Professional | None (both parts) | $933.25 | $933.25 | $933.25 |
Geisinger Setting Facility Modifier None Typical Low $181.97 Median $181.97 Typical High $181.97 | Facility | None | $181.97 | $181.97 | $181.97 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $151.36 Median $549.54 Typical High $891.25 | Professional | None (both parts) | $151.36 | $549.54 | $891.25 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $93.33 Typical High $158.49 | Professional | 26 · Professional part | $63.10 | $93.33 | $158.49 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $436.52 Typical High $776.25 | Professional | TC · Technical part | $89.13 | $436.52 | $776.25 |
Martin's Point Setting Facility Modifier None Typical Low $512.86 Median $758.58 Typical High $1,318.26 | Facility | None | $512.86 | $758.58 | $1,318.26 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $416.87 Median $457.09 Typical High $588.84 | Professional | None (both parts) | $416.87 | $457.09 | $588.84 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $69.18 Typical High $79.43 | Professional | 26 · Professional part | $58.88 | $69.18 | $79.43 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $346.74 Median $380.19 Typical High $524.81 | Professional | TC · Technical part | $346.74 | $380.19 | $524.81 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $245.47 Median $263.03 Typical High $831.76 | Professional | None (both parts) | $245.47 | $263.03 | $831.76 |
UPMC Health Plan Setting Facility Modifier None Typical Low $181.97 Median $501.19 Typical High $1,288.25 | Facility | None | $181.97 | $501.19 | $1,288.25 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $181.97 Median $181.97 Typical High $501.19 | Professional | None (both parts) | $181.97 | $181.97 | $501.19 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $79.43 Typical High $79.43 | Professional | 26 · Professional part | $69.18 | $79.43 | $79.43 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $104.71 Typical High $436.52 | Professional | TC · Technical part | $104.71 | $104.71 | $436.52 |
United Setting Facility Modifier None Typical Low $524.81 Median $1,122.02 Typical High $1,288.25 | Facility | None | $524.81 | $1,122.02 | $1,288.25 |
United Setting Professional Modifier None (both parts) Typical Low $309.03 Median $478.63 Typical High $870.96 | Professional | None (both parts) | $309.03 | $478.63 | $870.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $83.18 Typical High $138.04 | Professional | 26 · Professional part | $64.57 | $83.18 | $138.04 |
United Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $416.87 Typical High $741.31 | Professional | TC · Technical part | $309.03 | $416.87 | $741.31 |
6 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $208.93 Median $218.78 Typical High $257.04 | Professional | 52 · Reduced service | $208.93 | $218.78 | $257.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $83.18 Median $87.10 Typical High $104.71 | Professional | 53 · Discontinued | $83.18 | $87.10 | $104.71 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $331.13 Median $354.81 Typical High $416.87 | Professional | FX · Film X-ray | $331.13 | $354.81 | $416.87 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $208.93 Median $218.78 Typical High $257.04 | Professional | 52 · Reduced service | $208.93 | $218.78 | $257.04 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $83.18 Median $87.10 Typical High $104.71 | Professional | 53 · Discontinued | $83.18 | $87.10 | $104.71 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $331.13 Median $354.81 Typical High $416.87 | Professional | FX · Film X-ray | $331.13 | $354.81 | $416.87 |
Where Pennsylvania sits
The same service costs 6.3 times more in Alaska than in Kentucky. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Pennsylvania· 35th of 51
$513
AK $2,188KY $347
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.